时间观训练对男性精神分裂症患者社会功能康复影响  

Influence of Time Concept Training on Social Function Rehabilitation of Male Schizophrenia Patients

作　　者：林明钦 胡耀华 刘小榕 林李琼 张颖 吴开文 LIN Mingqin;HU Yaohua;LIU Xiaorong;LIN Liqiong;ZHANG Ying;WU Kaiwen(Department of Psychiatry,Fuzhou Neuropsychiatric Hospital,Fuzhou,Fujian Province,350008 China;Department of Psychology,Fuzhou Neuropsychiatric Hospital,Fuzhou,Fujian Province,350008 China)

机构地区：[1]福州市福州神经精神病防治院精神科,福建福州350008 [2]福州市福州神经精神病防治院心理科,福建福州350008

出　　处：《中外医疗》2022年第12期167-170,175,共5页China & Foreign Medical Treatment

基　　金：福州市科技计划项目(2020-WS-63)。

摘　　要：目的探究时间观训练对男性精神分裂症患者社会功能康复影响。方法随机选取2020年6月—2021年5月期间该院收治的50例男性精神分裂症患者作为研究对象,根据随机数字法分为对照组和研究组,每组25例,分析两组的临床效果。结果护理前两组患者ZTPI评分差异无统计学意义(P>0.05);经护理后研究组的消极过去时间观、积极过去时间观、享乐主义现在时间观、宿命主义现在时间观、未来时间观显著优于对照组,差异有统计学意义(t=2.071、6.742、2.199、10.249、2.842,P<0.05)。研究组患者护理后的HEIQ评分,包括人际关系、自我幸福感、困难克服、自我管理、学习成长、自我肯定均优于对照组,差异有统计学意义(t=2.210、2.569、3.160、2.454、3.801、2.144,P<0.05)。研究组的社会功能评分优于对照组,差异有统计学意义(t=3.404,P<0.05)。且研究组患者经时间观训练后其焦虑评分(SAS)和抑郁评分(SDS)均显著低于对照组,差异有统计学意义(t=18.428、11.388,P<0.05)。研究组护理满意度(96.00%)也高于对照组(68.00%),差异有统计学意义(χ^(2)=4.878,P=0.027)。结论对男性精神分裂症患者采用时间观训练,能够使患者的治疗效果得到显著提升,帮助其提高心理健康状态。Objective To explore the effect of time concept training on social function rehabilitation of male schizophrenia patients.Methods Fifty male patients with schizophrenia who were admitted to the hospital from June 2020 to May 2021 were randomly selected as the research subjects.According to the random number method,the patients were divided into the control group and the study group,with 25 cases in each group,and the clinical effects of the two groups were analyzed.Results There was no statistically significant difference in ztpi score between the two groups before nursing(P>0.05);After nursing,the negative past time view,positive past time view,hedonistic present time view,fatalistic present time view and future time view of the study group were significantly better than those of the control group,and the difference was statistically significant(t=2.071,6.742,2.199,10.249,2.842,P<0.05).The heiQ scores of patients in the study group after nursing,including interpersonal relationship,self happiness,difficulty overcoming,self-management,learning and growth and self affirmation,were better than those in the control group,and the difference was statistically significant(t=2.210,2.569,3.160,2.454,3.801,2.144,P<0.05).The social function score of the study group was better than that of the control group,and the difference was statistically significant(t=3.404,P<0.05).After time view training,the anxiety score(SAS)and depression score(SDS)of the study group were significantly lower than those of the control group(t=18.428,11.388,P<0.05).The nursing satisfaction of the study group(96.00%)was also higher than that of the control group(68.00%),and the difference was statistically significant(χ^(2)=4.878,P=0.027).Conclusion The use of time concept training for male schizophrenia patients can significantly improve the treatment effect of patients and help them improve their mental health.

关 键 词：时间观训练 男性精神分裂症 社会功能 康复护理 

分 类 号：R473[医药卫生—护理学]